Remove Hospice Remove Hospice companies Remove Medicare Remove Palliative care
article thumbnail

Customizing Hospice, Palliative Care Payment Contracts in ACO REACH

Hospice News

Hospices and Accountable Care Organizations have the ability to customize payment contracts within the Realizing Equity, Access and Community Health (ACO REACH) program. Centers for Medicare & Medicaid Services (CMS) is replacing the Global and Professional Direct Contracting (GPDC) model with ACO REACH. Effective Jan.

article thumbnail

Hospices Seek Congressional Action on Staffing Constraints

Hospice News

Years after it was first introduced, hospice leaders are calling on Congress to move forward legislation that would bolster their dwindling workforce. The most significant bill in recent years is the Palliative Care and Hospice Education Training Act (PCHETA), which has come before Congress time and again but has not yet been passed.

Hospice 299
professionals

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

4 Key Trends for Hospices to Watch in 2024

Hospice News

Hospice operators in 2024 are navigating a rapidly transforming environment. The prior three years have laid the groundwork for change, particularly in the regulatory space as well as gradual migration towards value-based reimbursement and in tandem, the proliferation of business lines beyond hospice.

2024 290
article thumbnail

Federal Judge Hands Down Prison Sentences in Hospice Fraud Case

Hospice News

Justice Department has sentenced two individuals linked to California hospices on alleged False Claims Act violations, among other charges. Gayk Akhsharumov, manager and owner of San Gabriel Hospice & Palliative Care and Broadway Hospice, received a sentence of one year and one day in prison and was ordered to pay close to $9.2

Hospice 130
article thumbnail

How CON Laws Influence Hospice Quality, Program Integrity

Hospice News

Variations in hospice certificate of need (CON) state laws are raising program integrity concerns. CONs have a big role to play when it comes to quality and utilization, according to Susan Ponder-Stansel, president and CEO of Florida-based Alivia Care. A fourth, Arizona, has a CON law for ambulance services, but not hospices.

Hospice 246
article thumbnail

CMS Proposes ‘36-Month Rule’ to Curb Hospice License ‘Flipping’

Hospice News

Some hospice owners have been selling their businesses soon after securing a license. The practice appears to stem from a rash of newly licensed hospices that have emerged in California, Nevada, Texas and Arizona. Some of these providers have secured licenses, as well as Medicare certification and, sometimes, accreditation.

Hospice 255
article thumbnail

Investigators, Prosecutors Take on Hospice Fraud in California, Arizona

Hospice News

Two hospice fraud cases are moving forward in California and Arizona, states that some stakeholders consider to be potential hotbeds of malfeasance in the space. False Claims Act violations in California San Gabriel Hospice & Palliative Care submitted roughly $3.67 Ghadimi is accused of misusing Medicare payments.

2016 246